前置胎盘产后出血行子宫压迫缝合止血的效果研究  

Research on effect of uterus oppression suture hemostasis in placenta previa associated postpartum hemorrhage

作　　者：罗怀英 曹永利[1] 张文慧[1] 

机构地区：[1]广东省深圳市龙岗区妇幼保健院产科,518000

出　　处：《中国实用医药》2016年第36期47-49,共3页China Practical Medicine

摘　　要：目的研究前置胎盘产后出血行子宫压迫缝合止血的临床效果。方法 82例前置胎盘产后出血患者,按随机分类的方法将其分为压迫缝合组(Y组,40例)和对照组(D组,42例)。Y组对产后出血采用压迫缝合的止血方法 ,D组在产后出血时采用填塞法进行止血。对两组患者的高危因素和止血的效果进行分析比较。结果两组胎盘前置产后出血的高危因素比较差异无统计学意义(P>0.05)。Y组总有效率95.0%高于D组78.6%,差异具有统计学意义(P<0.05)。结论前置胎盘产后出血在采用压迫缝合法对子宫止血的研究中具有良好的效果,可以在临床推广使用。Objective To study clinical effect of uterus oppression suture hemostasis in placenta previa associated postpartum hemorrhage. Methods A total of 82 placenta previa associated postpartum hemorrhage patients were randomly divided into oppression suture group （group Y, 40 cases） and control group （group D, 42 cases）. The group Y received oppression suture hemostasis, and the group D received plugging method for hemostasis. Analysis and comparison were made on high risk factors and hemostasis effect. Results There was no statistically significant＇difference in high risk factors of placenta previa associated postpartum hemorrhage in two groups （P〉0.05）. The group Y had higher total effective rate as 95.0% than 78.6% in the group D, and the difference had statistical significance （P〈0.05）. Conclusion Uterus oppression suture hemostasis shows good effect in placenta previa associated postpartum hemorrhage, and it can be promoted and used in clinical.

关 键 词：前置胎盘 产后出血 子宫压迫缝合止血 效果观察 

分 类 号：R714.461[医药卫生—妇产科学]